Ultrasound-guided injections are now an essential part of modern musculoskeletal (MSK) practice. For doctors, physiotherapists, and advanced practitioners who already have basic ultrasound skills, the next step is to move on to more complex procedures. That's where our advanced ultrasound injection course comes in. In partnership with SonoSkills, Dr Masci teaches the Advanced MSK [...]
Nerve Hydrodissection: A Minimally Invasive Treatment for Trapped Nerves Nerve entrapment from scar tissue, adhesions, or direct trauma causes burning pain in the area innervated by the nerve. Nerve hydrodissection offers an innovative way to treat these entrapments without surgery. Under ultrasound guidance, we inject fluid around the nerve to free it from scar [...]
We use cortisone injections to relieve pain from arthritis and tendonitis — directing cortisone to a joint or tendon reduces inflammation and improves pain and function. So, how long does a steroid shot last, and is there anything you can do to make the effect last longer? (If you're asking how long it takes [...]
Fluid on the knee — a knee effusion, or "water on the knee" — is a painful build-up of fluid in and around the knee joint. We usually treat it with simple measures such as ice, medication, and a compression wrap. But sometimes we need to drain the fluid, a procedure called a knee [...]
Medial collateral ligament tears cause pain and swelling on the inside of the knee. Most MCL injuries settle with a period of bracing and rehab. But sometimes the healing is complicated by calcification of the MCL — known as a Pellegrini-Stieda lesion, or Pellegrini-Stieda syndrome. So what is it, and how do we treat [...]
Platelet-rich plasma therapy, also known as PRP injection, is a relatively new treatment for common musculoskeletal conditions, including arthritis and tendonitis. But many practitioners offer different PRP treatments — so which would you choose, and does a more expensive system mean a better result? This guide answers the most common questions about PRP therapy. [...]
We use a Durolane injection to treat osteoarthritis — the most common form of arthritis. The condition affects the knees, hips, shoulders, thumbs, and other joints. Treatment starts with exercise, weight loss, and medication. When these are not enough, injections come next. Durolane is our preferred first-choice injection for knee arthritis and requires only [...]
Tennis leg is a strain of one of the calf muscles — the medial head of the gastrocnemius. A calf muscle tear happens when the muscle is pushed to its limit and tears. So how do we diagnose tennis leg, and what do we do about it? Tennis leg is one of two calf [...]
Should you have an ultrasound-guided cortisone injection? Most cortisone injections are still done "blind", relying on the doctor knowing the anatomy. Increasingly, doctors guide them with an ultrasound. So why have an ultrasound-guided cortisone injection, who should do it, and how much should it cost in London? This page covers cortisone specifically. For ultrasound [...]
Injections are essential for treating joints and tendons — commonly cortisone, hyaluronic acid, and PRP. Hitting the target is critical to a good result, and it's harder than it looks. That's why we use ultrasound to improve our hit rate. But not everyone who offers injections has the same training. So, before you have [...]
